| Heron's Nest Counseling, Pllc | |
|
655 Carson Dr Christiansburg VA 24073-4323 | |
| (540) 212-9202 | |
| Not Available |
| Full Name | Heron's Nest Counseling, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 655 Carson Dr, Christiansburg, Virginia |
| Authorized Official Name and Position | Crystallyn Anne Heron (OWNER) |
| Authorized Official Contact | 5402129202 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heron's Nest Counseling, Pllc 655 Carson Dr Christiansburg VA 24073-4323 Ph: (540) 212-9202 | Heron's Nest Counseling, Pllc 655 Carson Dr Christiansburg VA 24073-4323 Ph: (540) 212-9202 |
| NPI Number | 1538986864 |
|---|---|
| Provider Enumeration Date | 09/26/2024 |
| Last Update Date | 09/26/2024 |
| Certification Date | 09/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538986864 | NPI | - | NPPES |
| 1992325658 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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